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Organization

ROSS DIAGNOSTIC IMAGING MEDICAL CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUE WEERASINGHE (OPERATIONS MANAGER)
(213) 431-0393
Entity
Organization

Contact information

Practice address
1325 OLEANDER AVE, CHESAPEAKE, VA 23325-3745
(213) 431-0393
Mailing address
1325 OLEANDER AVE, CHESAPEAKE, VA 23325-3745
(213) 431-0393

Taxonomy

Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
2471C3402X
Radiography Radiologic Technologist
Primary
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1396344859
NPPES
VA
Enumeration date
11/18/2020
Last updated
11/18/2020
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